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Overview

Back Pain - Symptom, Treatment And Causes

Back pain or lower back pain can happen for several problems with any part of the interconnected network of spinal nerves, muscles, bones, tendons or discs in the lumber spine.

Some of the typical causes for back pain are:

  • The small nerves on the lower back may get irritated
  • The large nerve root (sciatica nerve) that go down to the legs may get irritated
  • The large paired erector spinae muscle may get strained
  • The joints, bones or ligaments may get damaged
  • The intervertebral disc may get degenerated

Although it can happen at any age, back pain, especially lower back pain occurs in people who are in their 40s. Back pain is typically characterized by a localized pattern of discomfort in the lower back area that mostly occurs after an event that culminated in stressing the lumber tissues.

The severity of this condition, depends on a number of issues, which comprises of the degree of the strain and also the resulting spasm of the lower back muscles that occurred owing to the trauma.

Diagnosis of back pain is generally done by the doctors based on the location of the pain and history of the injury. X-ray is usually performed on the patients suffering from this ailment which helps in excluding osteological abnormalities. The most popular treatment for all kinds of back pains or lumber strains consists of resting the back to avoid subsequent injury. Apart from that reconditioning exercises are also prescribed to the patients to strengthen the back muscles along with medications to relieve pain and muscular spasms. Local heat applications are also advised to the back pain patients along with massage which is often done by certified physiotherapists.

In rare cases back pain can also be a sign of CES (Cauda Equina Syndrome), which is a condition that requires immediate surgical treatment.

In patients suffering from CES, something compresses their spinal nerve roots, which cause severe pain. As the cauda equine are a bundle of nerve roots which is located in the lumbosacral spine and sends messages to the brain from the feet, legs and pelvic organs, inability to provide a fast treatment, often leads to lasting damage which can lead to incontinency and also permanent paralysis of the legs.

MRI (Magnetic Resonance Imaging) scan is also prescribed at time along with a Myelogram (X-ray of the spinal cord after injecting contrast material into the spine), which aids in pinpointing the pressure point on the spinal nerves or on the spinal cord.

Can't be cured, but treatment helps Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks
Symptoms
Leg numbness Pins and needles sensation Sensitivity to pain Muscle spasms

Popular Health Tips

Mommy Makeover - What To Expect!

Dr. Harsh Bharat Amin 83% (34 ratings)
MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Ahmedabad
Mommy Makeover - What To Expect!
Bringing a child into this world is one of the most wonderful phases of a woman's life. At the same time, this involves a lot of body changes - physiologically, physically, chemically, and emotionally. Mommy makeover refers to one or a combination of procedures that are done to alter the appearance after delivery, especially relating to one or more of the following: Tummy that is sagging (no fat, just loose skin) with stretch marks Breasts that are altered in size and shape, sometimes the enlargement could be completely disproportionate with the body and cause back pain Undefined thick waistline with irregular fat accumulation Fat deposits on the abdomen, thighs, hips, and trunk that do not reduce with dietary changes and exercise Skin changes on the face and around the eyes, giving an aged appearance Post cesarean, there is excessive skin around the surgical scar Pros: Reduces tummy size Gives a more youthful appearance Alters breasts to the desired shape and size Cons: Weight loss, if happens, could affect the results Subsequent pregnancies don't have any complications with tummy tuck but with another pregnancy the effects may be lessened or reversed. Since surgery is involved, the risk of unforeseen complications always exists (for instance, in breast implants, there is capsule formation or capsulitis, in rare cases rupture may require removal.) Mommy makeover is not a single step procedure, but a combination of plastic surgical procedures that are done depending on the problem you present with. Tummy tuck - If there is abdominal sagging, the tummy is tucked back into position by removing the fat and excessive skin and reworking on the belly button. Liposuction - Excessive fat deposits in the hips, thighs, trunk area can be removed by sucking out the fat deposits. Most commonly done in the hips and trunk area. Breast lift - Sagging uneven breasts, drooping nipples, reduced volume are all indications for a breast lift. During the surgery, the breast tissue is repositioned to reproduce a better shape and size and reposition the nipples if required. Breast reduction - Large breasts are a common problem, and breast reduction is one of the most requested for procedures. Breast augmentation - Either saline implants or silicone are used to restore breast size and shape to the desired results. Usually, breast lift is combined with breast augmentation. Facial corrections - From dark circles to sagging skin to wrinkles, facial appearance can be changed based on the presenting symptoms. These are very brief descriptions of the various procedures that are done as part of mummy makeover. A detailed consultation with your plastic surgeon regarding costs, subsequent pregnancies, aftercare, recovery, healing, and limitations and risks is to be had ahead of the surgery.
2 people found this helpful

Chronic Back Pain - How Radiology Can Help With It?

Dr. Sudhir Pudi 90% (61 ratings)
DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Chronic Back Pain - How Radiology Can Help With It?
Many people all over the world often suffer from chronic back pain due to various reasons. Persisting for weeks together, this type of acute pain in the back can even cause severe damage to one's daily work schedule. It is often the neck or the lower back or upper or middle back that cause such pain and forces one to look for medical assistance. And it is this necessity for obtaining a cure or treatment solution that radiology becomes extremely helpful in dealing with chronic back pain. Read further to have a better idea of how radiology can be of great help in getting relief from the annoying and distressing chronic back pain. What is radiology? Radiology refers to a branch of medicines which dealing with radiant energy, helps in the proper diagnosis as well as treatment of a disease. This specialty specifically uses medical imaging for diagnosing a disease or the root of illness and treating it. This field is divided into two major areas, one is interventional radiology, and the other is diagnostic radiology. Radiology and chronic back pain Radiology is known to be an ideal solution for getting relief from the constant suffering of chronic back pain. Whether it's a pain in the spine or the hip, radiology helps in ensuring accurate treatment while reducing the chances of inappropriate treatments which often is performed due to the lack of knowledge about the root problem. With the image-guided injections and the accurate diagnosis, radiology reaches to the root of the back pain and helps the medical professionals have a better understanding about what's ailing the patient. How is radiology effective in treating back pain? While the majority of the back pain can be dealt with proper rest, anti-inflammatory medications and physiotherapy sessions, when it turns out to be a chronic pain, proper diagnosis is the best option for dealing with the pain. Using different radiological imaging services such as CT or computerized tomography, MRI or magnetic resonance imaging and X-ray, the location of the pain can be easily identified and then is treated properly. And treating the back area with different therapeutic injections becomes necessary, such as nerve root injections or facet joints injections or epidural injections, for dealing with the chronic back pain, again it s radiology that turns out to be an irreplaceable part of successful treatment. Chronic back pain being one of the most common reasons for visiting a doctor, opting for the right diagnosis procedure becomes crucial for identifying the main underlying reason which is causing the pain. And there's no doubt that it is with the help of the latest imaging facilities of radiology that accurate diagnosis as well as managing the pain can be possible.

Sleeping More Than 8 Hours - How It Can Put Your Health At Risk?

Dr. Mansoor Khan 87% (10 ratings)
MBBS, Associate Fellow of Industrial Health
General Physician, Chittorgarh
Sleeping More Than 8 Hours - How It Can Put Your Health At Risk?
Sleep is a vital component of the human construct. This is the time when the body restores itself. While too little sleep can be dangerous for the body, new research has shown that too much sleep has its pitfalls too. Oversleeping is an indication of certain health risk. It also indicates few medical conditions that a person might have. Here is more on the risks of oversleeping: Difficult to get pregnant: A study conducted by a Korean research team in the year 2013 found that out of a sample size of 650 women who were undergoing in-vitro fertilization, the ones who got pregnant had 7-8 hours of daily sleep. The study also suggested that sleep can affect menstrual cycles, circadian rhythms, and hormone secretion. While research is yet to find out a direct co-relation between sleep and infertility, a number of researchers are trying to break the jinx. Risk of diabetes: A Quebec study conducted in 2013 clearly showed that a person who sleeps for more than eight hours in a day is more risk prone to suffer from type 2 diabetes and reduced glucose tolerance. On a six-period time frame, people who sleep for more than 7-8 hours, are more likely to suffer from diabetes related complication, even if they keep body mass under control. Mental health and depression: Depression is a major symptom of oversleeping. While people with depression tend to suffer from insomnia, an estimated 15 percent patients suffering from depression tend to oversleep. Compared to regular sleepers, the ones who oversleep tend to suffer from anxiety symptoms and persistent depression. A recent study has revealed that sleeping too much can increase the chances of genetic heritability. Another study revealed that people who sleep for more than 10 hours can result in mental illness. Another research conducted at the John Hopkins Medical School revealed that an irregularity of the body s sleeping clock can lead to temporary mental depression. Increased inflammation: Oversleeping can increase the risk of certain diseases such as the Alzheimer s disease, cardiovascular disease etc. A study conducted by a group of researchers revealed that women who slept for more than eight hours are likely to suffer from 44 percent higher C-reactive protein. Another study reported that C-reactive increased by more than 8 percent for every hour of additional sleep an individual takes. More pain: While sleep and rest are often associated with healing, oversleeping can, at times, exacerbate symptoms. Spending too much time in bed can aggravate back and shoulder pain. Oversleeping is also associated with a higher frequency of headaches. Oversleeping often triggers one-sided migraine and increases the level of stress in a person.

All About Lower Back Pain!

Ms. Kamalika Bhattacharya 91% (879 ratings)
MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
All About Lower Back Pain!
Lower back pain? Degeneration of the spine? Lumbar disc problems? Joint pain? Body aches? For all of the above, the one common solution is popping a calcium or D3 supplement. It s true though, a deficiency of these vitamins can cause all of the above, but there are many ways of looking at this. You can be popping the best brand of supplements, but remember, it just does not work that way. For calcium to get absorbed into the bones, your D3 levels have to be adequate. If it s not, your calcium supplement that is being wasted, so are the foods rich in calcium that you are consuming. Furthermore, Vitamin K is such an ignored vitamin, but you should know, Vitamin K is needed for the bones to absorb Calcium. Vitamin K is found in dairy products and green leafy veggies. So here s how it works. For strong and healthy bones, joints and a super strong spine, you need sufficient calcium, D3 and Vitamin K for it to work effectively. I should add in B12 as B12 is necessary for healthy bone marrow, and for the body and spine to grow strong and healthy. Calcium, Vitamin K, Vitamin B12 and Vitamin D3A balanced diet should give you all of that. Apart from nutrition, have a look at the points below: Regular and smart exercise, stretching, warm up and cool downs. Knowing your tiger muscles and working on flexibility. DO NOT SIT IN ONE PLACE FOR MORE THAN 30-45 MINUTES. This is too much strain and stress on your lower back/sacrum and it leads to lower back, sciatica and lower body aches and pains. Look for nutrition in fresh and real foods. Supplement only if you have to and if you have a deficiency. The choice of preventing or healing yourself from pains as such, is all up to you.

Spine Surgery - What To Expect After It?

Dr. Ajay Rao 86% (10 ratings)
MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
Spine Surgery - What To Expect After It?
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery. Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker. Discontinue antiplatelets: Discontinue antiplatelets and blood thinners. It has to be stopped atleast 5 days before Surgery. Prepare for blood loss: Most people experience some blood loss, but not excessive. Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy. Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it). Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy. Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used. Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc. Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon. After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required. Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury. Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles. Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain. Smoking and alcohol should be completely stopped, as healing can be hampered. With some preparation, spinal surgery can be sailed through smoothly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
1 person found this helpful

Popular Questions & Answers

I have back pain. Mri reports shows gade1 anterior lysthesis of l4 over l5 with probable spondylolysis interarticularis of l4 vertebra.

BHMS
Homeopath, Jaipur
Dear User As per your details and reports, your condition can be well managed by conservative measures. Most important point is to correct life style measures. By getting control over lifestyle or habits itself, you can manage or prevent the condition from worsening. You can supplement it with Therapeutic exercises specific for lumbar radiculopathy. For example - SLR, etc. You should consult physiotherapist to get a "tailored" exercise schedule. You should also ensure proper dietary intake of calcium, vitamin D [Most importantly] and proteins. Certain lifestlye measure you can follow - 1) Not lifting heavyweight like flower pots, etc. Take a correct posture while bending. Always squat then flex the torso forward carefully to pick anything from down/floor which will prevent excess pressure over lumbar spine. 2) Use western toilets instead of Indian style. 3) Don't give sudden jerk while starting bike/scooter [if you drive] as it may worsen the condition 4) Sit straight on chair, improve posture while walking/standing. 5) Avoid sitting for long hours, take little breaks [you may take 2 glasses of water prior to sitting, which will urge you to go for urination] 6) You may also wear waist belts which support the back when sitting for long hours is inevitable or pain is slightly more The above measures will surely improve the condition and prevent further deterioration of condition. I hope this will help you out. Happy to help!

I am feeling severe pain in the lower back, it happens in the morning and when I sit for long help me. Thanks in advance.

Dr. Nikita Paprunia 90% (171 ratings)
Physiotherapist, Latur
Back extension exercises Avoid bending, lifting, and sitting continuesly in one position. Hot pack to the area Take an xray to confirm the diagnosis

I am 20 years old, previous year I slipped over stairs and fall on buttock, I feel some pain while walking in the lower area where thigh bone joins the back bone, it occurs when I sleep and suddenly start walking after waking up.

Dr. Nikita Paprunia 90% (171 ratings)
Physiotherapist, Latur
Take an xray to know whether the injury is severe or not Exercises for lower extremities Hot pack to the area Avoid long time standing

Hi my son with the age 11 years suffering with spondylitis arthritis from last 3 months, we consulted doctors rheumatologist in but still the problem is spread to foot joints neck and head nerves he could not sit 2 min even please suggest us. The patient getting daily 1 hr savior back pain.

Dr. Vishwas Virmani 89% (14829 ratings)
BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
• Apply Hot Fomentation twice daily • . Avoid bending in front. • Postural Correction- Sit Tall, Walk Tall. • Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. • Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. • Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
1 person found this helpful

Dear Sir, my wife suffering with back pain problem, she have 20 months baby, now she is carrying 6 months, back bone are very pain problems,

Dr. P Nagaraj 89% (3779 ratings)
FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take Postural and spinal extension exercise from physiotherapist on advice of your Obstetrician.
1 person found this helpful

Health Quizzes

Treatment for Your Chronic Pain

Dr. Sanjay Sharma 87% (266 ratings)
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Chronic back pain may require surgery to fix it. True or false? Take this quiz to find out.
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Dr. Prashant Parate 91% (2627 ratings)
Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
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Age Does Not Matter When It Comes To Back Pain. True or False?
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Back Pain Myths and Facts

Take this 1 minute quiz to test your smarts, and get great tips about back pain!
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